Illness specific patterns of psychological adjustment and cognitive adaptational processes in children with cystic fibrosis and sickle cell disease.
Illness-specific patterns of adjustment and cognitive adaptational process were identified in children (7-12 years of age) with cystic fibrosis (CF, n = 40) or sickle cell disease (SCD, n = 40). Anxiety diagnoses were most frequent for both illness subgroups but children with CF had a higher rate of oppositional disorder (27.5%) than did children with SCD (2.5%). Significant portions of the variance in adjustment were accounted for by stress appraisal (19%), expectations of efficacy (9%) and health locus of control (9%) for children with CF and by stress appraisal (21%) and self-worth (12%) for children with SCD. The interaction of general and specific illness tasks and adaptational process with developmental tasks in delineating intervention opportunities is discussed.
Thompson
R J
RJ
Duke University Medical Center, Durham, NC 27710, USA.
Gustafson
K E
KE
Gil
K M
KM
Godfrey
J
J
Murphy
L M
LM
D000223:Adaptation, Psychological; D000367:Age Factors; D001294:Attitude to Health; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000523:psychology; D002908:Chronic Disease; D003071:Cognition; D003550:Cystic Fibrosis / Q000523:psychology*; D005260:Female; D006450:Hemoglobin SC Disease / Q000523:psychology*; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008960:Models, Psychological; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012649:Self Concept